- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,481.54 / $15,848.93 / $20,417.38
| Facility | | $11,481.54 | $15,848.93 | $20,417.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,332.54 / $14,125.38 / $19,498.45
| Facility | | $9,332.54 | $14,125.38 | $19,498.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,709.64 / $16,595.87 / $23,442.29
| Facility | | $8,709.64 | $16,595.87 | $23,442.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,332.54 / $15,135.61 / $19,498.45
| Facility | | $9,332.54 | $15,135.61 | $19,498.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,317.64 / $16,595.87 / $23,442.29
| Facility | | $8,317.64 | $16,595.87 | $23,442.29 |